| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.61 | $448.38 | $3,074.11 | |
Aetna
| Professional | $195.27 | $306.14 | $382.05 | |
CareSource
| Facility | $207.60 | $249.12 | $271.42 | |
CareSource
| Professional | $241.26 | $241.26 | $241.26 | |
Cigna
| Facility | $362.79 | $362.79 | $362.79 | |
Cigna
| Professional | $219.78 | $374.54 | $880.20 | |
Highmark BCBS
| Professional | $497.03 | $497.03 | $497.03 | |
United
| Professional | $269.10 | $359.27 | $515.29 |